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Home Safe and Smart (HSS) combines low-cost smart technologies with practical home modifications, delivered by an occupational therapist and a handy person. A pilot program was implemented with community-dwelling older adults using standardized in-home assessments to set personalized goals. Among participants, ADL improved by 89%, readiness for change increased by 91%, and fear of falling decreased meaningfully, with an average cost of $567 per participant.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/home-safe-and-smart-a-pilot-program-integrating-smart-technology-and-home-modifications-for-aging-in-place/424259/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/home-safe-and-smart-a-pilot-program-integrating-smart-technology-and-home-modifications-for-aging-in-place/424259.png","ImageObject",300,407,{"name":92,"@type":93},"Mabel","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the Home Safe and Smart (HSS) program designed to do?","Question",{"text":112,"@type":113},"HSS integrates low-cost smart technologies with home modifications to reduce disability, increase safety, and promote aging in place for community-dwelling older adults.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were participants assessed and goals set in the pilot program?",{"text":117,"@type":113},"An in-home assessment used standardized measures of self-report and observed performance of activities of daily living (ADL), fear of falling, readiness for change, and an environmental assessment to set personalized goals.",{"name":119,"@type":110,"acceptedAnswer":120},"What outcomes did the pilot program report?",{"text":121,"@type":113},"Participants showed 89% ADL improvement, a 91% increase in readiness for change, and a clinically meaningful reduction in fear of falling.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},424259,1790763915,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},7971474920318,"https://ap-avatar.wpscdn.com/avatar/74000ee537e6b0ca360?x-image-process=image/resize,m_fixed,w_180,h_180&k=1788430171632181674","Innovation in Aging, 2025, Vol. 9, No. S2 549  \nAbstract citation ID: igaf122.1883  \nHOME SAFE AND SMART: A PILOT PROGRAM INTEGRATING SMART TECHNOLOGY AND HOME MODIFICATIONS FOR AGING IN PLACE  \nJack Fried, Meredith Hughes, Portia Singh, and Pamela Toto, University of Pittsburgh, Pittsburgh, Pennsylvania, United States  \nSmart technology is an effective solution for improving person-environment fit and eliminating barriers to aging in place. Adding smart technology to traditional home modifications can be cost-effective and provide powerful solutions for creating a healthy home. Home Safe and Smart (HSS) is an evidence-informed program delivered by an occupational therapist and a handy person integrating low-cost smart technologies and home modifications to reduce disability, increase safety and promote aging in place for community-dwelling older adults. Objective: Describe procedures and preliminary results of a pilot program delivering Home Safe and Smart (HSS) in partnership with a regional health plan. Methods: HSS was developed and piloted (N = 100) with  \n550 Innovation in Aging, 2025, Vol. 9, No. S2  \nnursing facility (NF) clinically eligible and NF ineligible persons 60+ invited by their health plan. The in-home assessment included standardized measures of self-report and observed performance of activities of daily living (ADL), fear of falling, readiness for change and environmental assessment to set personalized goals for function and health. HSS participants were eligible to receive select smart technology, home modifications and up to 5 in-home visits for associated training. Results: Participants demonstrated 89% ADL improvement, 91% increase in readiness for change and clinically meaningful reduction in fear of falling. Average cost for smart technology and home modifications was $567 per participant. Most common smart technology provided include Amazon Echo Show, smart lighting, smart health devices and smart doorbells. Conclusion: Preliminary outcomes indicate HSSand smart technology can be an acceptable and feasible prevention program for aging in place offered through a regional health plan.  \n-  \n-  \n-  \n-  \n,","cbCainBpvb4Xl8Kk","https://ap.wps.com/l/cbCainBpvb4Xl8Kk","pdf",993604,"English","# Objective\n## Methods\n## Results\n## Conclusion","[{\"question\":\"What is the Home Safe and Smart (HSS) program designed to do?\",\"answer\":\"HSS integrates low-cost smart technologies with home modifications to reduce disability, increase safety, and promote aging in place for community-dwelling older adults.\"},{\"question\":\"How were participants assessed and goals set in the pilot program?\",\"answer\":\"An in-home assessment used standardized measures of self-report and observed performance of activities of daily living (ADL), fear of falling, readiness for change, and an environmental assessment to set personalized goals.\"},{\"question\":\"What outcomes did the pilot program report?\",\"answer\":\"Participants showed 89% ADL improvement, a 91% increase in readiness for change, and a clinically meaningful reduction in fear of falling.\"}]","Home Safe and Smart - A Pilot Program Integrating Smart Technology and Home Modifications for Aging in Place | PDF",1790633542]